Contribution Collection and Compliance

Contribution Collection and Compliance

App folder
sites/default/files/images/guidelines/COLL01/
Guideline code
CCC
Old code
COLL01
Weight
2

Kader JKN Program, Involving society to care about social healthcare program

Kader JKN program is a partnership program that involves the general public to care about social health care program. Every social healthcare provider has limitation and challenges. We must be smart to optimize another resource around us. By creating Kader JKN program, BPJS Kesehatan can manage and solve the limitation of its resources to collect premium collection of individual/ informal member and switching the challenge to be an opportunity. Since it started on April 2017, BPJS Kesehatan can increase the collectability of individual/informal segment about thirteen point nine percent.

FVA, Optimizing the principle of mutual cooperation through family bill in Indonesia’s Social Health Insurance Fund (BPJS Kesehatan)

The Family Virtual Account (FVA) system is a system which combines enrollee bills in a family. This system has great benefits for the enrollee such as more efficient payments, the prevention of adverse selection for BPJS Kesehatan and the improvement collection of contribution from the informal workers segment. In the implementation of this system, Indonesia’s Social Health Insurance Funds (BPJS Kesehatan) must coordinate well with the Ministry of Internal Affairs as the managers of the population data and must also improve the promotion of the FVA system to the public.

Using electronic exchange of data to facilitate the warrants of attachment of movables and immovable

The Social Security Corporation (SSC) in its efforts to reduce indebtedness and minimize evasion of payments of social security contribution has started to link electronically with stakeholders' databases to facilitate the warrants of attachment of movables and immovable of enterprises and individuals. Actually, the electronic exchange of data between SSC and the stakeholders stems from its strategic plan 2017-2019, that stated in its objectives "reduction of insurance evasion" and "strengthening the sustainability of the insurance system”.

Video Service Delivery

As the baby boom generation (people born in 1946 through 1965) reached their most disability-prone years, the number of claims and subsequent appeals for disability benefits skyrocketed. This strained the United States Social Security Administration’s ability (SSA) to keep pace with the demand for hearings. A hearing is a proceeding before an administrative law judge requested by a claimant when he or she disagrees with a determination SSA has made. SSA has made use of video conferencing technology as a means of meeting this challenge.

Video Service Delivery

As the baby boom generation (people born in 1946 through 1965) reached their most disability-prone years, the number of claims and subsequent appeals for disability benefits skyrocketed.  This strained the United States Social Security Administration’s ability to keep pace with the demand for hearings.  (A hearing is a proceeding before an administrative law judge requested by a claimant when he or she disagrees with a determination SSA has made.) SSA has made use of video conferencing techn

Shared software and collaborative work

Over the past few years, the Social Insurance Bank (Banco de Previsión Social – BPS) has been promoting and exploring the possibility of using public software rather than creating a new system or issuing a call for tenders to acquire one, with the aim of making optimum use of government resources and to avoid “reinventing the wheel”. The term “public software” is used to describe any piece of software that has been developed using government resources and that should therefore be available for the different government organizations to share.

Specialists in one click

As part of its policies to promote a social security institution that is more effective and efficient and closer to the people, allowing their quality of life to be improved, a strategy for multi-channel services has been drawn up with the aim of offering citizens different channels of customer service depending on their needs.

Distance training via videoconferencing

E-training has come to the fore as a means of enabling training programmes to be offered to the organization’s officials on a large scale. Until now, the method has relied on so-called Virtual Learning Environments (VLE), and more specifically the Moodle platform, which is used by the institution.

The aim is to improve this training method by adopting videoconferencing as an e-training tool, using synchronous techniques to enable real-time interaction between speakers in different locations and, with other strategies, to replicate on-site courses.

Telemedicine: An effective tool for technology transfer and personalized medical care for patients travelling outside their place of origin

June 2015: after taking up the post of Director of Foreign Travel at the Social Health Insurance Institute (Seguro Social de Salud – EsSalud), I had the following experience: a patient had come back from a foreign country after spending a month there and I decided to go with him to his first check-up in Peru. The attending doctor looked at me and asked “What do you want me to do with this patient? He has had a type of treatment that we don’t use in this country and I’m not familiar with it.